Aggressive Periodontitis With Supernumerary Teeth: A Retrospective Study

Abstract

Despite the similarities (aggressive periodontitis accompanied by supernumerary teeth) in the previous reports, we do not agree with the earlier results. We rather suggest that this association might be a random occurrence, rather than a biological one, although this observation should be further investigated using genetic testing.

Supernumerary eumorphic mandibular incisor in association with aggressive periodontitis

“…[10182122] Localized aggressive periodontitis is characterized by severe attachment and angular bone loss, particularly in incisors and molars. Aggressive periodontitis is reported in various study populations — 0.1%, by Odell and Hughes[18]; 0.32%, by Lopez et al .…”

“…[9] The prevalence of supernumerary teeth was 2.97% as reported by Acikgoz et al . [10] The prevalence varies from 1% to 4%. [11] Prevalence of supernumerary teeth in mandibular incisor region is 2% of the total supernumerary prevalence,[1213] and it is the lowest in the oral cavity.…”

“…[101821] But there is no published report on eumorphic fifth well-aligned mandibular incisor associated with aggressive periodontitis. The purpose of this case report was to present a case of 5 mandibular incisors that are same in morphology and without fusion between crowns and roots of lower incisors and are associated with aggressive periodontitis.…”

Effect of fenofibrate on microcirculation and wound healing in healthy and diabetic mice

“…Excessive activation of some MMPs, such as MMP9, can impair cell migration and lead to breakdown of some necessary matrix proteins and growth factors (Signorelli et al 2005). Although there is no direct evidence that the proliferative activity of keratinocytes is affected in diabetes, migration may well be impaired and studies with cells from diabetic wounds are needed (Acikgoz et al 2004). Therefore, beside correction of hyperglycemia, proper debridement of diabetic ulcers corrects many more subtle abnormalities, at least partly, by removal of altered resident cells and matrix material.…”

Position of Impacted Maxillary Central Incisor Influencing Spontaneous Eruption and Timing

“…Other possible causes of lack of eruption of maxillary incisors are: ectopic position of the tooth bud, non-vital orankylosed primary teeth, early extraction (or loss) of deciduous teeth, mucosal barriers in the path of eruption that acts as a physical barrier to eruption, endocrine abnormalities, bone disease [6].Impaction of maxillary permanent incisors is not a frequent case in dental practice, but its treatment is challenging because of their importance to facial esthetics. 56-60% of premaxillary supernumerary teeth cause impaction of permanent incisors [7,8]due to a direct obstruction for the eruption, tipping of the adjacent teeth towards the place of the impacted tooth, narrowing of the dental arch, displacement of the permanent teeth bud, or malformations of the unerupted tooth root [9,10,11]. Spontaneous eruption of impacted maxillary incisors occurs in 54-76% of cases when supernumerary tooth is removed and there is enough space in the dental arch [12,13,14].…”